Healthcare Provider Details

I. General information

NPI: 1689536237
Provider Name (Legal Business Name): ZAKARY BUERKLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 VIP DR STE 310
WEXFORD PA
15090-6936
US

IV. Provider business mailing address

716 STOCKTON RDG
CRANBERRY TOWNSHIP PA
16066-2255
US

V. Phone/Fax

Practice location:
  • Phone: 878-231-4946
  • Fax: 724-934-3906
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC019610
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: